Laserfiche WebLink
| <br />-, <br />refuse to allow the removal of the solids and liquids through <br />the maintenance hole. I understand that removal of solids and liquids through other access <br />points is not considered a compliant method of solids removal and does not fulfill the solids <br />removal requirements of Minn. R. 7080,2450 and 7082'0600 <br />Owner's Signature: <br />Tank Type - Precast - Block - Concrete -Plastic - Other <br />Filter: Yes No Type of system: Mound - Gravity - Holding Tank Elevated Trench/Bed <br />Type of waste: Domestic - Holding <br />Are tanks leaking above or below flow line? Yes No lf yes, where: <br />Did you observe sewage discharging onto the ground surface? No Yes, <br />Electrical condition:Pump Size: <br />Are all of the covers securely replaced? Yes No, <br />Safety concerns: <br />Next recommended um Length of hose required <br />ro u b I es hooti n g/Re Pa i rs :Comments/T <br />Location of tanks in Yard: <br />Sewer Services lnc. 25648 2OOth Street - Belle Plaine, MN 56011 '952-873'3292 <br />Septic tunks should be pumped evety 1 to 3 yesrs' <br />Muny dffirent vuriubles determine how often <br />u tsnk needs Pumqing: <br />tr Type und uge of sYstem <br />tr Number of PeoPle in the house <br />tr Gurbage disPosul <br />tr Tunk history <br />PUMP REPLACEMENTS, <br />INSPECTIONS & REPAIR <br />25648 200th St'Belle Plaine, MN 56011 '952-873-3292 <br />State Certified. <br />Billins Information <br />Exposing Manholes (l2" deep or less no charge) <br />Excessive Distance (more than 120')l <br />Excessive Grade (more than 20'total lift)i <br />None Cash - Check <br />-(# <br />Pumping (first 1000 gal.) <br />Additional gallons : <br />Servicing Pump Tank <br />Filing Fee Fuel Surcharge <br />Payment Method:Total Due: <br />Emergency Charge: <br />Materials: <br />Labor: <br />Permit <br />Disposal site: <br />)